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Dr. Russell Austin Fairbanks, DC
Chiropractor in Rogers City, Michigan
NPI 1528018355

Russell Austin Fairbanks is a Chiropractor based in Rogers City, MI. Russell Austin Fairbanks practices in Rogers City, MI and has the professional credentials of DC. The NPI Number for Russell Austin Fairbanks is 1528018355 and holds a License No. 2301005062 (Michigan).

The current practice location address for Russell Austin Fairbanks is 408 N Third St, Rogers City, MI and can be reached out via phone at 989-734-3384 and via fax at 989-734-7391.

Location: 408 N Third St, Rogers City, MI, 49779-0213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528018355
Provider Name
Russell Austin Fairbanks
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
408 N Third St, Rogers City, MI, 49779-0213
Phone Number
989-734-3384
Fax Number
989-734-7391
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2967204 05 MI
95OG150000 01 MI BLUE CROSSBLUESHIELD
institution
Provider Business Practice Location Address Details
Address
408 N Third St
City
Rogers City
State
Michigan
Zip
49779-1309
Phone Number
989-734-3384
Fax Number
989-734-7391
person
Provider Business Mailing Address Details
Address
408 N Third St
City
Rogers City
State
Michigan
Zip
49779-1309
Phone Number
989-734-3384
Fax Number
989-734-7391
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2301005062 (Michigan)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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